The vendor required to provide Medicaid billing services for include:
1. Medicaid billing services
• Eligibility verification for incarcerated individuals
• Claim preparation, coding, and submission
• Coordination with hospitals, clinics, and specialty providers
• Management of claim denials, appeals, and resubmissions
• Tracking and reporting claim status and reimbursements
2. Technical capabilities
• Software platforms used
• Integration with jail medical records or EHR systems
• Data security standards
• Audit support and compliance reporting
• Data exchange formats and interface requirements
3. Operational requirements
• Staffing model (e.g., dedicated account manager, billing specialists)
• Expected responsibilities of the county
• Required data inputs and documentation
• Turnaround times for claim submission and follow-up
• Customer support structure.
- Questions/Inquires Deadline: February 10, 2026